Doctor Name: | MRS. KRISTEN LYNN PEREZ |
NPI Number: | 1619360112 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | 10132 |
Business Practice Address: | 3900 Birch St Suite #103 Newport Beach, CA - 926602209 |
Business Phone Number: | 9499550010 |
Business Fax Number: | |
Mailing Address: | 1237 Bering St, PLACENTIA |
State: | CA |
Postal Code: | 928703901 |
Phone Number: | 7143974081 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2015 |
NPI Last Update Date: | 03/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 10132 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |